Ponovljivost in zanesljivost merjenja rotacije v kolenskem sklepu z dvojno goniometrijo : raziskovalno delo

Albanese, Alan (author), Jakovljević, Miroljub (mentor)

Uvod: Rotacija v kolenskem sklepu je potrebna za fiziološko biomehaniko spodnjega uda pri vsakdanjih aktivnostih. Rezultati obstoječih raziskav o obsegu rotacije v kolenskem sklepu so si nasprotujoči. Najboljši način za merjenje rotacije v kolenu ni še znan. Namen: Namen raziskave je bil ovrednotiti ponovljivost in zanesljivost merjenja rotacije v kolenu z uporabo dveh goniometrov na magnetno iglo. Metode dela: V raziskavi je sodelovalo 30 zdravih preiskovancev (15 moških, 15 žensk), starih med 20 in 32 let. Notranja in zunanja rotacija v levem in desnem kolenskem sklepu je bila izmerjena v položaju sede s kolenom v 90° fleksije. Rezultati: Med levo in desno nogo ni bilo statistično pomembnih razlik. Obseg gibljivosti notranje rotacije je v povprečju (standardni odklon) znašal 10,6° (2,5°) v desnem in 10,9° (2,5°) v levem kolenskem sklepu; zunanje rotacije pa je bila 22,0° (3,4°) v desnem in 21,8° (4,0°) v levem kolenskem sklepu. Vrednosti intraklasnega koeficienta korelacije (ICC) za ponovljivost je znašala od 0,76 do 0,89 in za zanesljivost od 0,64 do 0,87. ICC kažejo na zelo dobro do odlično ponovljivost in zanesljivost uporabljene metode. Razprava in sklep: Metoda se je izkazala kot ponovljiva in zanesljiva, vendar so potrebne dodatne raziskave pred prenosom v klinično prakso. Vrednosti obsega notranje in zunanje rotacije se ne skladajo z vrednostmi drugih avtorjev.

• Language: Slovenian
• Keywords: rotacija, kolenski sklep, goniometrija, obseg giba
• Work type: Bachelor thesis/paper
• Organization: ZF - Faculty of Health Sciences
• Year: 2018
• PID: 20.500.12556/RUL-100059
• COBISS.SI-ID: 5393771
• Publication date in RUL: 02.03.2018

Secondary language

• Language: English
• Title: Repeatability and reliability of knee joint rotation measurements with double goniometry : research work

Abstract

Introduction: Rotation in the knee is a necessary movement for physiologic biomechanics of the lower limb in daily activities. The results of existing studies about range of motion of rotation in the knee joint are contradictory. The best method to measure knee rotation is not known yet. Purpose: The purpose of the study was to evaluate repeatibility and reliability of measuring the rotation in the knee using two magnetic goniometers. Methods: The study involved 30 healthy subjects (15 men, 15 women) aged between 20 and 32 years. The internal and external rotation in the left and right knee joints were measured in sitting position with the knee in 90° of flexion. Results: There were no statistically significant difference between the left and right leg. The average range of motion of the internal rotation (standard deviation) was 10.6 ° (2.5°) in the right and 10.9° (2.5°) in the left knee joint, respectively; the average external rotation was 22.0° (3.4°) in the right and 21.8° (4.0°) in the left knee joint, respectively. The intraclass coefficient of correlation (ICC) for repeatability ranged from 0.76 to 0.89 and for reliability from 0.64 to 0.87. ICC values show very good or excellent repeatability and reliability of the method used. Discussion and conclusion: The method was proved to be repeatable and reliable, but additional researches are needed before transferring it to clinical practice. Values of internal and external rotation do not match to the values of other authors.

• Keywords: rotation, knee joint, goniometry, range of motion